Journal article

Qualitative case study of needle exchange programs in the Central Appalachian region of the United States.

Stephen M Davis, Danielle Davidov, Alfgeir L Kristjansson, Keith Zullig, Adam Baus, Melanie Fisher

PLoS One | Published : 2018


BACKGROUND: The Central Appalachian region of the United States is in the midst of a hepatitis C virus epidemic driven by injection of opioids, particularly heroin, with contaminated syringes. In response to this epidemic, several needle exchange programs (NEP) have opened to provide clean needles and other supplies and services to people who inject drugs (PWID). However, no studies have investigated the barriers and facilitators to implementing, operating, and expanding NEPs in less populous areas of the United States. METHODS: This qualitative case study consisted of interviews with program directors, police chiefs, law enforcement members, and PWID affiliated with two NEPs in the rural st..

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